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Radiographic outcomes following femoroacetabular impingement correction with open surgical management: a systematic review

  • Outcomes Research in Orthopedics (O Ayeni, Section Editor)
  • Published:
Current Reviews in Musculoskeletal Medicine Aims and scope Submit manuscript

Abstract

Femoroacetabular impingement (FAI) is a common cause of hip pain, and open surgical approaches remain an important treatment option for FAI. This systematic review of the literature sought to determine what post-operative radiographic outcomes have been reported following open surgical correction of FAI. After screening and full-text review, 18 studies involving 1192 hips in 1084 patients were included for analysis. In total, 24 radiological outcomes were reported. CAM-type FAI was most frequently assessed using the alpha angle (61.1 %) and head-neck offset/head-neck offset ratio (33.3 %). Lateral center edge angle (27.8 %) and the acetabular index (22.2 %) were the most commonly reported outcomes for pincer-type FAI. The results of this review suggest that reporting of post-operative radiographic outcomes is variable, that no single radiographic parameter is optimal, and that the clinician must use a combination of reproducible measurements, together with their clinical examination, to confirm adequate restoration of normal hip morphology.

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Authors and Affiliations

  1. Department of Surgery, Section of Orthopaedics, University of Manitoba, 346-825 Sherbrook Street, Winnipeg, MB, Canada, R3T 2 N2

    R. Kyle Martin

  2. Division of Orthopaedic Surgery, McMaster University Medical Centre, 4E15-1200 Main Street West, Hamilton, ON, Canada, L8N 3Z5

    Ivan Dzaja, Jeffrey Kay, Muzammil Memon, Andrew Duong, Nicole Simunovic & Olufemi R. Ayeni

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Martin, R.K., Dzaja, I., Kay, J. et al. Radiographic outcomes following femoroacetabular impingement correction with open surgical management: a systematic review. Curr Rev Musculoskelet Med 9, 402–410 (2016). https://doi.org/10.1007/s12178-016-9365-4

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